Medicare Places Hold on 2015 Date-of-Service Claims

The 2015 Medicare Physician Fee Schedule (MPFS) final rule was finalized on November 13, 2014.  Now, due to the need to implement corrections to technical errors discovered, Medicare Administrative Contractors will hold claims containing 2015 services paid under the MPFS for the first 14 calendar days of January.

The hold, if not extended, should have minimal impact on provider cash flow as, under current law, clean electronic claims are not paid sooner than 14 calendar days after the date of receipt.

Break Away from the Static

MPFS claims for services rendered on or before Wednesday December 31, 2014 are unaffected by the 2015 claims hold and will be processed and paid under normal procedures and time frames.

ADVOCATE will continue to provide information on this topic and others impacting radiology as they arise.

Best regards,
Kirk Reinitz, CPA